Provider Demographics
NPI:1497165534
Name:REIMER, DEANNA (CRNP)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:REIMER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1440
Mailing Address - Country:US
Mailing Address - Phone:814-781-7531
Mailing Address - Fax:814-781-7494
Practice Address - Street 1:177 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-1349
Practice Address - Country:US
Practice Address - Phone:814-781-7531
Practice Address - Fax:814-781-7494
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013836363LF0000X
IN71006033A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily